A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?
Explanation & Rationale
A. Report the findings immediately to the healthcare provider: Acute testicular pain with swelling and erythema in an adolescent can indicate testicular torsion, a surgical emergency. Immediate reporting allows prompt evaluation and intervention to prevent testicular loss. B. Obtain a swab of secretions from the penis and urethra: Collecting a swab may be appropriate if infection is suspected, but in the presence of acute trauma-like pain and swelling, ruling out torsion takes priority over testing for sexually transmitted infections. C. Collect a sterile urine sample for culture and sensitivity: Urine testing is useful for diagnosing urinary tract infections, but it does not address the immediate risk of testicular torsion, which requires urgent assessment. D. Provide the adolescent with a urinal for urinary hesitancy: Urinary hesitancy is not the primary concern in acute scrotal pain with swelling. Providing a urinal does not address the emergent nature of potential testicular torsion.